Provider Demographics
NPI:1962802843
Name:COTTON, BRITTNEY NICOLE (MS, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:BRITTNEY
Middle Name:NICOLE
Last Name:COTTON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1444 KEW GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-1545
Mailing Address - Country:US
Mailing Address - Phone:314-660-1491
Mailing Address - Fax:
Practice Address - Street 1:1415 N GARRISON AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-1506
Practice Address - Country:US
Practice Address - Phone:314-533-2526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-28
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014025598235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist